Jeb Sydejko is a Pharmacist in Sylmar, California. Jeb Sydejko practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Jeb Sydejko is 1316062177. The last update date is 2007-07-08.
Jeb Sydejko's current location address is 14124 Foothill Blvd, Sylmar, California. You can contact this provider via phone number 8183675939 and fax number 8183622179. The mailing address for Jeb Sydejko is 14124 Foothill Blvd, Sylmar, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeb Sydejko |
|---|---|
| Address | 14124 Foothill Blvd, Sylmar, California |
| Phone Number | 8183675939 |
| Fax Number | 8183622179 |
| Sole Proprietor | N |
| Credentials | RPH, PHARM |
NPI Number Detail
| NPI Number | 1316062177 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 14124 Foothill Blvd |
|---|---|
| City | Sylmar |
| State | California (CA) |
| Post Code | 913428049 |
| Phone Number | 8183675939 |
| Fax Number | 8183622179 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 39607 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39607 | CA | RPH LICENSE NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jeb Sydejko?
The Jeb Sydejko has been issued the NPI (National Provider Identifier) 1316062177 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Jeb Sydejko is physically located?
The Jeb Sydejko is situated at the following address: 14124 Foothill Blvd, Sylmar, CA 913428049.
What is the Jeb Sydejko's area of specialization and corresponding taxonomy classification?
The Jeb Sydejko's specialty field is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316062177 to Jeb Sydejko?
The Centers for Medicare & Medicaid Services originally issued the 1316062177 to Jeb Sydejko on 2007-03-20.
When was the information regarding Jeb Sydejko, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jeb Sydejko, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.